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Individual

MR. MICHAEL FLOOD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
3640 BARBARA DR, DOUGLASVILLE, GA 30135-2856
(770) 438-5097
Mailing address
261 FAIRMOUNT AVE, APT. 19, OAKLAND, CA 94611-5868
(678) 438-5097

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
006792
GA
235Z00000X
Speech-Language Pathologist
Primary
16775
CA

Other

Enumeration date
05/13/2011
Last updated
02/28/2012
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